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2003 NOV 6 - (NewsRx.com & NewsRx.net) -- The value of follow-up visits after IUD-insertion is questionable.
"The objective of this study was to evaluate whether regular follow-up after insertion of an IUD protects against the risk and side effects of this contraceptive device," investigators in the Netherlands wrote.
"To study the effectiveness of the follow-up visits done after IUD insertion, we compared a group of women with regular follow-up visits (group A: after 6 weeks, 3, 6 and 12 months) with women who had non-regular follow-up visits (group B: after 6 weeks and annually) for pregnancy, expulsion rates and discontinuation. A total of 280 women were included (group A: 199, group B: 81)," said K. Neuteboom and colleagues, Leiden University, Medical Center.
"Three pregnancies and two unnoticed expulsions were observed. The detection rate of an unnoticed expulsion is 0.35 and 0.11 per 100 visits for, respectively, the visit 6 weeks after insertion and all successive visits. Women in group A came significantly more frequently for unscheduled visits [relative risk (RR): 1.6; ...